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自然受孕单胎妊娠中自发性卵巢过度刺激综合征。

Spontaneous ovarian hyperstimuation syndrome in a naturally conceived singleton pregnancy.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Jazan University, Abu-Arish City, Jazan, Saudi Arabia.

出版信息

Fertil Steril. 2010 Jun;94(1):351.e1-4. doi: 10.1016/j.fertnstert.2009.12.076. Epub 2010 Feb 19.

DOI:10.1016/j.fertnstert.2009.12.076
PMID:20171619
Abstract

OBJECTIVE

To report the occurrence of a rare case of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

DESIGN

A case report.

SETTING

The Obstetric and Gynecology Department at King Fahd Central Hospital, Jazan City, Saudi Arabia.

PATIENT(S): Our reported case was a middle-aged Egyptian woman presented in the second trimester of her first pregnancy with persistent abdominal pains, shortness of breath, vomiting, and diarrhea.

INTERVENTION(S): The data were collected by full history taking, clinical examination, transabdominal ultrasonographic examination, and by revision of results of the patient's laboratory tests.

MAIN OUTCOME MEASURE(S): The possible event of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

RESULT(S): Our case was reported as a severe case of spontaneous ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy.

CONCLUSION(S): This case report emphasizes the importance of thorough evaluation of all women presented with acute abdomen and ovarian masses during pregnancy. Although the condition is extremely rare, it is a potentially lethal in its severe form if not timely diagnosed and managed conservatively. With the increasing awareness of these conditions, more and more cases could be detected and reported.

摘要

目的

报告一例罕见的自然受孕单胎妊娠中自发性卵巢过度刺激综合征的发生。

设计

病例报告。

地点

沙特阿拉伯吉赞市法赫德国王中央医院妇产科。

患者

我们报告的病例是一名中年埃及妇女,在她的第一次妊娠中期出现持续性腹痛、呼吸急促、呕吐和腹泻。

干预措施

通过详细的病史采集、临床检查、经腹超声检查以及患者实验室检查结果的复查来收集数据。

主要观察指标

自然受孕单胎妊娠中自发性卵巢过度刺激综合征的可能发生。

结果

我们的病例报告为一例自然受孕单胎妊娠中严重的自发性卵巢过度刺激综合征。

结论

本病例报告强调了对所有在妊娠期间出现急性腹痛和卵巢肿块的妇女进行彻底评估的重要性。尽管这种情况极为罕见,但如果不及时诊断和保守治疗,其严重形式可能是致命的。随着对这些情况的认识不断提高,可能会发现并报告更多的病例。

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